Minerva anestesiologica
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Minerva anestesiologica · Dec 2010
Case ReportsLocal anesthetic toxicity in interscalene block: clinical series.
We experienced two cases of local anesthetic toxicity by interscalene block. A 62-year-old man received interscalene block with lidocaine 1% 30 mL and bupivacaine 0.25% 20 mL under light sedation followed by general anesthesia. He was not awake at one hour after surgery with his pupils dilated. ⋯ Seizure stopped in two min after anesthesia induction. She had no complication after surgery. These two cases showed neurological toxicity by interscalene block with lidocaine and bupivacaine or with ropivacaine without hemodynamic complication.
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Minerva anestesiologica · Dec 2010
Editorial Comment Comparative StudyLevobupivacaine versus bupivacaine: is there as winner?